Individual
DR. PAIGE ANNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
122 S MICHIGAN AVE, CHICAGO, IL 60603-6191
(312) 922-9595
Mailing address
515 W BRIAR PL, APT 302, CHICAGO, IL 60657-4658
(512) 350-1780
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
21883
TX
122300000X
Dentist
Primary
319015727
IL
Other
Enumeration date
05/04/2006
Last updated
01/23/2009
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